FAMILY CARE CLINIC LLC NPI 1568700128

NPI Information

FAMILY CARE CLINIC LLC is a primary care clinic center in Boise, ID. FAMILY CARE CLINIC LLC NPI is 1568700128. The provider is registered as an organization entity type.

The provider's business location address is:

8050 W RIFLEMAN ST STE 100
BOISE, ID
ZIP 83704-006
Phone: (208) 321-0634
Fax: (208) 321-1082

The provider's authorized official is Laurie Miller .
The authorized official title is Office Manager and has the following contact phone number (208) 321-0634.

The CLIA number assigned to this NPI record is 13D2012755 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2013 and was last updated on 8/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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